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Individual
JACKLYN MARIE VAN ARSDALE
Active
Individual
JACKLYN MARIE VAN ARSDALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN, LPC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PC012543
PA
101YP2500X
Professional Counselor
PC012543
PA
133V00000X
Registered Dietitian
Primary
DN004686
PA
Other
Enumeration date
10/18/2011
Last updated
08/01/2020
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